甲状旁腺损伤的预防在临床外科手术中的应用

Parathyroid gland injury prevention application in clinical surgery

目的：评价甲状旁腺损伤预防措施在甲状腺手术中的应用价值。方法：选取患者82例，对照组、观察组各纳入41例，后者给予强化保护措施，对比相关指标。结果：观察组暂时性声音嘶哑、暂时性低钙血症、有症状低钙血症、服用钙剂比重分别为0．00％、2．44％、0．00％、63．41％，低于对照组14．63％、19．51％、9．76％、80．49％，观察组术后1小时TT3水平、FT4水平高于对照组，术后10天、3个月FT4水平高于对照组，差异具有统计学意义（P＜0．05）。结论：对甲状腺手术实施甲状旁腺保护措施非常必要，有助于降低并发风险，改善患者预后。

Objective：To discuss the application value of preventive measures in the operation of thyroid gland parathyroid damage e-valuation.Methods：82 cases of patients, the control group, the observation group each included 41 patients, the latter given to strength-en protection measures, the relevant index comparison.Results：in the observation group, the incidence of temporary hoarseness, tempo-rary hypocalcemia incidence,symptomatic hypocalcemia incidence , taking calcium proportion was respectively 0%, 2.44%, 0%, 63. 41%lower than that of the control group 14.63%, 19.51% , 9.76%, 80.49 %, the patients in the observation group the TT3 level of 1h and FT4 was higher than the control group,10 d, 3 months after the operation the FT4 level was higher than the control group, with signifi-cant difference （P 〈0.05）.Co nclusion：the implementation of the thyroid protection measures should be necessary for thyroid opera-tion, helps to reduce the complicated risk, improve the prognosis of the patients .